Goal
Apply medical and nutritional protocols to ensure the care of the patients in nutrition centers. Provide nursing care, treatment, and follow-up for children suffering from severe malnutrition, according to national protocols, universal hygienic standards and other procedures, in order to ensure a good delivery of care and improve their nutritional conditions
Objective 1: Providing preventive and curative health care to SC admitted patients
Admission of children:
- Record all the necessary information of patients in Register and in MSS/TSS
- Informing mothers of the results
- Drawing up nutritional surveillance forms and milk cards for the children
- Tracing the children’s weight-target line and noting their temperatures
- Administering treatment prescript after medical consultation
- Checking the children’s vaccination status, referring them to the vaccination station if necessary
- Explaining to mothers what the hospitalization involves: giving advice if required
Medical follow up
- Ensuring medical parameters are taken (temperature, heart and respiratory rate, weight, weight/height accordance, presence of oedemas, etc.) following the protocols in use, noting the results on the corresponding forms in the patients’ files
- Taking part in the daily medical round and noting changes in prescription according to the patients’ state
- Checking the prescriptions are signed and dated
- Distributing treatments according to individual medical prescriptions. Following the doses, administration methods and times and signaling any problems
- Ticking off and counter-signing treatments taken in the medical files
- Ensuring external care and dressings, referring the children for complementary examinations if required
- Following the rules of hygiene and asepsis during the delivery of all health care (washing hands, sorting waste, what to do in the case of accidental blood exposure, etc.)
- Detecting all anomalies in the children’s health and behavior, providing first aid whilst waiting for a doctor to arrive
Nutritional follow up (in collaboration with the nutrition worker)
- Inserting naso-gastric tube for feeding, responsible of checking the good position before feeding, evaluating and notifying any complications
- Establishing the children’s food ration according to their weight and degree of malnutrition
- Informing mothers about the importance of meals
- Informing mothers about the children’s diets and the number and frequency of meals
- Encouraging mothers to continue breast feeding during the hospitalization
- Inciting mothers to give the children liquid intake
- With the nutrition worker, being present and ensuring that the children eat all their meals correctly
- Noting the quantities absorbed and any identified problems (vomiting, diarrhea, etc.)
- Watching over the weight curves
- Ensuring the children’s correct and regular growth by examining their weight curves
- conduct anthropometric measurement for admitted children
- Identifying all anomalies in the curves and informing the doctor in the case of weight loss
- Organizing daily information and education sessions in the SC
Leaving the SC
- Managing the children’s exits according to the criteria set out in the protocol and after medical agreement
- Measuring the children’s brachial perimeters
- Weighing and measuring the children to calculate weight/height associations
- Checking that oedemas have disappeared
- Reporting all this information on the follow up forms and noting the exits in the register
- Providing handover note on each team changeover
- Informing mothers of measures to be taken and giving them nutritional advice adapted to the state of their children
Objective 2: Managing the premises, medicines and medical equipment
- Being responsible for the material used
- Ensuring the follow up of medicine consumption during the inpatient phase, drawing up an order with the supervisor if needed
- Handing over the pharmacy and consumable medical equipment on each team changeover
- Prepare Oral Rehydration Solution on a daily basis, following the rules for doses, dilution and storage conditions
- Ensuring the cleanliness of the premises and work surfaces
Objective 3. Communication and teamwork
- Introduce yourself to each patient, be polite.
- Explain how to take any treatment prescribed and the importance of following them correctly.
- Respect medical confidentiality at all times
- Working in collaboration with the medical and paramedical team
- Being responsible for the correct execution of tasks by the team under his supervision
- Organizing and managing training sessions if required
- Ensuring written and oral handovers within the team and between the teams
- Participating in departmental meetings and ongoing training sessions
- Referring to the SC HoP/ Health Officer in the case of any problems
- Use language that the translator can understand
- Ensure good communication with the team
- Report problems encountered in the center or within the team to the SC PM
- Propose solutions to solve any problem faced and report them to the SC PM
Objective 4: Recording and Reporting
- Being responsible for the correct upkeep of registers and hospitalization forms
- Participating in daily data collection (number of admissions and exists, morbidity, etc.)
- Participating in the calculation and analysis of weekly statistics (calculating weight gain, length of stay, etc.) in collaboration with the Health Officer and the SC PM
- Reacting as necessary according to the results
- Follow clearly appropriate protocols and guidelines - National.
- Participate in the weekly/ monthly reporting of TFU activities
- Support organization of transfer if needed (transport, paper…)
